A 64 year old female is admitted to the hospital for dehydra…
A 64 year old female is admitted to the hospital for dehydration, acute kidney injury, and hypercalcemia. An abdominal CT scan shows concern for lymphoma. BMP Sodium (Na⁺) 145 Potassium (K⁺) 3.5 Chloride (Cl⁻) 98 Blood Urea Nitrogen (BUN) 45 Creatinine (Cr) 2.5 Glucose 136 Magnesium (Mg+) 1.7 Calcium (Ca+) 18.9 Albumin 3.5 Which medication is most appropriate for the acute electrolyte imbalance?
Read DetailsYour patient presented to the emergency department with vomi…
Your patient presented to the emergency department with vomiting and altered mental status. ABG reveals metabolic acidosis. The patient has an abnormal EKG with peaked T waves, ORS widening. What electrolyte imbalance correlates with these findings?
Read DetailsYou are working in the Neurology ICU. Your patient is a 45 y…
You are working in the Neurology ICU. Your patient is a 45 year old male who had a large meningioma resection 4 days ago. He remains intubated due to cerebral edema. NG tube is present. BMP: Na+ 160, K+ 3.8, BUN 25, Cr 1.3, Ca+ 8.1, Mg+ 1.8. What is the preferred treatment of his hypernatremia?
Read DetailsA 56 y/o woman presents to the emergency deparment with comp…
A 56 y/o woman presents to the emergency deparment with complaints of a few episodes of vaginal bleeding over the past 3 months. She reports the bleeding is usually small amounts. She also reports that she is postmenopausal and is currently on low-dose estrogen and progesterone replacement hormone therapy for her severe vasomotor symptoms. She denies any symptoms of abdominal pain or cramping. Which of the following is the next best step to further evaluate the patient’s symptoms?
Read Details